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Washington, DC rates for HCPCS 21088

Impression & Preparation Facial Prosthesis

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3,615.87 / $3,615.87 / $3,615.87
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3,615.87 / $3,615.87 / $3,615.87
CareFirst
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,007.00 / $1,931.39 / $4,500.00
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$4,250.53 / $7,362.84 / $8,814.65
Kaiser Permanente
Facility/Professional
Professional
Modifier
Low / Median / High Price
$5,689.11 / $7,723.47 / $7,723.47
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3,261.00 / $4,165.00 / $26,408.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,348.34 / $2,285.77 / $4,753.25